Organization
HARBORSIDE MASSACHUSETTS LIMITED PARTNERSHIP
Active
Parent organization
SUNBRIDGE HEALTHCARE LLC
Other names
Hathorne Hill Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUNBRIDGE HEALTHCARE LLC
Authorized official
MICHAEL T BERG (ASSISTANT SECRETARY)
(505) 468-4742
Entity
Organization
Contact information
Practice address
44 SUMMER ST, DANVERS, MA 01923-1574
(978) 774-6955
(978) 774-8410
Mailing address
101 SUN AVE NE, COMPLIANCE DEPARTMENT, ALBUQUERQUE, NM 87109-4373
(505) 468-5604
(505) 468-4681
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0282
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0940151
—
MA
Enumeration date
07/14/2006
Last updated
12/20/2022
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